Child Health Guide: Interactive Symptom Checker
Developed in cooperation with the faculties of Dartmouth Medical School

What is the common cold?

Symptoms and signs

Complications

Treatment / What you should do

Prevention

.

What is the common cold?

The common cold is an infection of the upper airway, meaning mostly the nose and throat. Many viruses, including the rhinoviruses, adenoviruses and enteroviruses, cause it.

The rhinoviruses are the most common, with more than 100 different types that can cause the common cold.

The infection makes the upper airway, particularly the inside of the nose, red and inflamed, with swelling and too much mucus being made.

Everyone has heard of the common cold; in fact, it is the most common infectious disease in childhood.

Many children will have 3 to 6 colds in the course of the year, especially during the winter, making it the most frequent reason for a sick child to visit a doctor.

Since the common cold is highly contagious for up to 3 weeks, it comes as no surprise that it is quickly spread from person to person.

Transmission occurs through airborne droplets from coughing and sneezing, or through direct hand-to-hand contact.
.

Symptoms and signs

The common cold usually starts with a stuffy nose and sneezing.

A clear discharge then starts dripping from the nose. After a few days, the nasal secretions become thicker and change from clear to whitish or yellowish in color.

The secretion flowing down into the airways (postnasal drip) causes a cough. Often the child will have a sore throat, drowsiness, mild fever, and not want to eat as much. High fevers are rare with the common cold.
.

Complications

Most common colds resolve on their own after 7-10 days. Sometimes, the swelling in the mucous membranes of the respiratory passages may block how the sinuses drain, so an infection in the sinuses develops called acute sinusitis.

Location of the sinuses

The Eustachian tube, which connects the middle ear to the back of the nose and throat, may also become blocked from the mucus. This can cause an infection in the child's middle ear called acute otitis media. If you suspect these complications in your child, you should contact your doctor.

Location of the Esutachian tube and middle ear

A stuffy nose tends to make it harder for infants to drink because they normally breathe more through their noses than older children, who also breathe through their mouths.

A stuffy nose makes it hard for any child to breathe, but when an infant is drinking, this becomes even more difficult. Therefore, the child must stop frequently while feeding, just to breathe. In turn, this means the child can become dehydrated if he is not able to drink enough fluids.
.

Treatment / What you should do

Since colds are caused by viruses, antibiotics (which kill bacteria) do not help. There are currently no treatments available to kill the viruses that cause the common cold.

There are treatments that may help reduce the symptoms of a cold. Encourage your child to drink lots of fluids. This can help to soothe a sore throat, quiet a cough, and make the mucus in the nose easier to clear.

Videos:

Do not worry if your child does not want to eat solid foods, as the runny nose can decrease a child's appetite.

Your child needs extra rest and should stay away from lots of physical activity for the first few days of a cold.

A cool mist humidifier in the bedroom also may make it easier for your child to breathe. Be sure to clean it regularly, according to the manufacturer's instructions.

Saline (salt water) nose drops or nasal spray will help to loosen the mucus in the nose and also make it easier for the child to breathe. This helps keep the nasal passages moist, which may prevent complications such as an ear or sinus infection.

Decongestant nose drops may help to decrease the swelling of the mucous membranes, but these drops should not be used for more than 3 days in a row. You should allow at least 2 weeks to pass before the child receives decongestant drops again.

For older children, put an extra pillow under the head when sleeping, since being up a little bit makes it easier to breathe with a stuffy nose. Teach your child to blow his or her nose frequently, using disposable tissues that should be thrown away.

If your child has a fever, or feels uncomfortable, you may give acetaminophen or ibuprofen. Never give aspirin to children because it can cause Reye syndrome, a serious illness involving the liver and brain.

Videos:



Histamines treat allergies and do not help with the common cold. Prolonged clear nasal discharge, often combined with sneezing, may be a sign of an allergy. You should discuss this with your doctor.

If your child has a persistent runny nose in only one nostril, you should contact the doctor to make sure that the runny nose is not something different than the common cold. For example, a runny nose on only one side suggests that the child may have pushed a foreign body up into the nose.

Contact the doctor if your child's overall condition doesn't seem right to you or he has a high fever breathing problems, worsening cough, severe sore throat, pain when swallowing, increasing headache, facial pain, earache, swollen glands in the neck or abdominal pain. All of these symptoms suggest complications, or a problem other than the common cold.
.

Prevention

It is impossible to keep children from getting the common cold.

The viruses that cause colds are spread by droplets in the air from an infected person and by hand-to-hand contact. Frequent hand washing lowers the chance of your child becoming infected with these viruses.

Keep your child home from day care or school if he has fever or has a severe cold, since the risk of infecting other children is high and they will not feel like being around other children anyway.

Children who grow up in homes where there are smokers seem to catch colds more often than children from smoke-free homes. Therefore, always avoid exposing your child to second-hand smoke.

There is no proof that various types of herbal medicines or vitamin supplements reduce the risk of catching the common cold.

This part was last updated: 01/27/2008 12:00:00 AM

ADVERTISEMENT
 

Blog: The Daily Fave

Shawn: "Sure, it helps to know what a mucus plug is, but mostly guys need books that offers simple, streamlined, practical info that doesn't get bogged down with a lot of 'medical diagrams' or 'compound sentences.' Well have I got the book for you, Pops." Updated frequently.

Blog: The Parenting Post

Mighty Maggie: "I have been in charge of the family finances for about a year now and I STILL DON'T KNOW WHAT I AM DOING." Updated Daily!

The Best Toys of 2009

We're giving away over $900 worth of toys! Enter BOTH giveaways once a day until December 14
Birthday Parties

31 Amazing Birthday Cake Designs

Sweet! The easiest, cutest cakes for boys and girls